Evidence map›Paper›PMID 34089749›Full record

Trial reportBrazilian journal of anesthesiology (Elsevier)

Low-cost versus high-fidelity pediatric simulators for difficult airway management training: a randomized study in continuing medical education.

Corinne Lejus-Bourdeau, Florence Pousset, Cécile Magne, Olivier Bazin, Nicolas Grillot, Vincent Pichenot

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Brazilian journal of anesthesiology (Elsevier). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Innovative Pediatric Simulator for Difficult Airway Management Training.IEEE journal of translational engineering in health and medicine · 2026
    Article
  3. Article
  4. Article
  5. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Corinne Lejus-BourdeauCHU Nantes, Hôtel Dieu - Hôpital Mère Enfant, Service d'Anesthésie Réanimation Chirurgicale, Nantes, France; Laboratoire Expérimental de Simulation de Médecine Intensive de l'Université (LESiMU) de Nantes, Nantes, France. Electronic address: corinne.lejus@chu-nantes.fr.
Florence PoussetCHU Nantes, Hôtel Dieu - Hôpital Mère Enfant, Service d'Anesthésie Réanimation Chirurgicale, Nantes, France; Laboratoire Expérimental de Simulation de Médecine Intensive de l'Université (LESiMU) de Nantes, Nantes, France.
Cécile MagneCHU Nantes, Hôtel Dieu - Hôpital Mère Enfant, Service d'Anesthésie Réanimation Chirurgicale, Nantes, France; Laboratoire Expérimental de Simulation de Médecine Intensive de l'Université (LESiMU) de Nantes, Nantes, France.
Olivier BazinLaboratoire Expérimental de Simulation de Médecine Intensive de l'Université (LESiMU) de Nantes, Nantes, France.
Nicolas GrillotCHU Nantes, Hôtel Dieu - Hôpital Mère Enfant, Service d'Anesthésie Réanimation Chirurgicale, Nantes, France; Laboratoire Expérimental de Simulation de Médecine Intensive de l'Université (LESiMU) de Nantes, Nantes, France.
Vincent PichenotCHU Nantes, Hôtel Dieu - Hôpital Mère Enfant, Service d'Anesthésie Réanimation Chirurgicale, Nantes, France; Laboratoire Expérimental de Simulation de Médecine Intensive de l'Université (LESiMU) de Nantes, Nantes, France.
Centre d'Investigation Clinique de Nantes · FRCentre Hospitalier Universitaire de Nantes · FRNantes Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh-fidelity (HF) pediatric patient simulators are expensive. This randomized study aimed to compare the quality and educational impact of a full-scale simulation workshop with an HF infant simulator (SimBaby™, Laerdal) or with a low-cost (LC) simulator composed of an inert infant manikin with SimBaby™ software that displays respiratory/hemodynamic parameters on a monitor for medical education in pediatric difficult airway management.

methodsAfter written informed consent, anesthetists and emergency or ICU physicians participated in teams (4 to 6 participants) in a training session that included direct participation and observation of two difficult intubation scenarios. They were randomized into two groups (HF group, n = 65 and LC group, n = 63). They filled out a simulation quality score (SQS, 0 to 50), self-evaluated their anesthetists' non-technical skills (ANTS) score (15 to 60), and an educational quality score (EQS, 0 to 60) immediately (T0, main criteria), as well as 3 (T3) and 6 (T6) months after the training session.

resultsWe enrolled 128 physicians. Direct participation SQS (39 ± 5 HF group versus 38 ± 5 LC group), observation SQS (41 ± 4 H F group versus 39 ± 5 LC group), ANTS scores (38 ± 4 HF group versus 39 ± 6 LC group), T0 SQS (44 ± 5 HF group versus 43 ± 6 LC group), T3 and T6 SQS were not different between groups.

conclusionOur low-cost simulator should be suggested as a less expensive alternative to an HF simulator for continuing medical education in pediatric difficult airway management.

Indexed as

Education, Medical, ContinuingSimulation TrainingAirway ManagementChildClinical CompetenceHumansInfantAirway managementHigh fidelity simulation trainingInfantMedical educationPediatric emergency medicine, anesthesia

Identifiers

PMID34089749
PMCPMC10240237
OpenAlexW3165937329

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.